Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

SSM CARDINAL GLENNON CHILDREN'S HOSPITAL

General Acute Care Hospital, Children·SAINT LOUIS, MO·NPI: 1508935891Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$52.6M

$52,602,511

Total Claims

440K

Beneficiaries

416K

1.1 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2018
$13.1M
-30%
2019
$9.1M
-66%
2020
$3.1M
-96%
2021
$135K
+5642%
2022
$7.8M
+36%
2023
$10.5M
-16%
2024
$8.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 23% of total spending.

G0463Top 5%

Hospital outpatient clinic visit

$11.9M

89K claims · 22.6%

Your Cost: $134.10/claim|Median: $26.41
5.1× median
99283Top 5%

Emergency dept visit, moderate complexity

$10.7M

49K claims · 20.3%

Your Cost: $219.17/claim|Median: $42.48
5.2× median
X4011Normal range

Healthcare procedure, code X4011

$7.9M

38K claims · 15.1%

Your Cost: $207.06/claim|Median: $268.66
0.8× median
99282Top 25%

Emergency dept visit, low complexity

$4.2M

33K claims · 7.9%

Your Cost: $126.37/claim|Median: $37.72
3.4× median
99284Top 5%

Emergency dept visit, high complexity

$3.3M

10K claims · 6.3%

Your Cost: $313.95/claim|Median: $69.51
4.5× median
X4003Normal range

$1.7M

29K claims · 3.2%

Your Cost: $58.62/claim|Median: $74.03
0.8× median
87804Top 1%

Influenza virus detection, rapid test

$910K

4,249 claims · 1.7%

Your Cost: $214.22/claim|Median: $12.59
17.0× median
99212Top 25%

Office/outpatient visit, low complexity

$906K

19K claims · 1.7%

Your Cost: $48.06/claim|Median: $25.06
1.9× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$596K

10K claims · 1.1%

Your Cost: $59.14/claim|Median: $4.71
12.6× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$579K

16K claims · 1.1%

Your Cost: $35.75/claim|Median: $37.81
0.9× median
0241UTop 10%

Proprietary lab analysis, genomic sequencing

$570K

3,876 claims · 1.1%

Your Cost: $147.09/claim|Median: $91.47
1.6× median
42820Top 1%

Tonsillectomy and adenoidectomy, under age 12

$565K

122 claims · 1.1%

Your Cost: $4,633.57/claim|Median: $331.68
14.0× median
69436Top 5%

Tympanostomy, general anesthesia

$518K

286 claims · 1.0%

Your Cost: $1,809.97/claim|Median: $205.50
8.8× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$505K

5,852 claims · 1.0%

Your Cost: $86.34/claim|Median: $11.48
7.5× median
93005Top 1%

Electrocardiogram, tracing only, without interpretation

$489K

2,606 claims · 0.9%

Your Cost: $187.81/claim|Median: $7.50
25.0× median
Y7506Top 25%

Healthcare procedure, code Y7506

$425K

637 claims · 0.8%

Your Cost: $666.91/claim|Median: $146.80
4.5× median
X4006Top 10%

$421K

129 claims · 0.8%

Your Cost: $3,264.39/claim|Median: $668.05
4.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$379K

12K claims · 0.7%

Your Cost: $30.78/claim|Median: $12.93
2.4× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$369K

659 claims · 0.7%

Your Cost: $559.79/claim|Median: $85.65
6.5× median
93325Top 1%

$359K

1,431 claims · 0.7%

Your Cost: $250.64/claim|Median: $14.61
17.2× median
88300Top 1%

$340K

317 claims · 0.6%

Your Cost: $1,073.02/claim|Median: $4.76
225.4× median
92567Top 5%

$337K

7,016 claims · 0.6%

Your Cost: $48.04/claim|Median: $11.50
4.2× median
87081Top 1%

Culture screening for pathogenic organisms

$320K

3,127 claims · 0.6%

Your Cost: $102.45/claim|Median: $5.09
20.1× median
94010Top 5%

$286K

2,467 claims · 0.5%

Your Cost: $115.83/claim|Median: $18.11
6.4× median
80053Top 5%

Comprehensive metabolic panel

$258K

6,028 claims · 0.5%

Your Cost: $42.79/claim|Median: $7.24
5.9× median
85046Top 5%

$213K

3,073 claims · 0.4%

Your Cost: $69.42/claim|Median: $2.47
28.1× median
80069Top 5%

Renal function panel

$188K

1,008 claims · 0.4%

Your Cost: $186.02/claim|Median: $4.12
45.2× median
36415Top 1%

Collection of venous blood by venipuncture

$180K

3,180 claims · 0.3%

Your Cost: $56.70/claim|Median: $1.57
36.1× median
96365Top 5%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$171K

897 claims · 0.3%

Your Cost: $190.14/claim|Median: $54.77
3.5× median
92555Top 5%

$166K

2,131 claims · 0.3%

Your Cost: $77.70/claim|Median: $14.17
5.5× median
82570Top 1%

$153K

482 claims · 0.3%

Your Cost: $316.70/claim|Median: $3.18
99.6× median
81001Top 1%

Urinalysis, automated, with microscopy

$150K

2,020 claims · 0.3%

Your Cost: $74.14/claim|Median: $2.03
36.5× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$147K

7,616 claims · 0.3%

Your Cost: $19.31/claim|Median: $7.18
2.7× median
90670Top 5%

$126K

3,497 claims · 0.2%

Your Cost: $36.13/claim|Median: $5.94
6.1× median
0240UTop 5%

$96K

556 claims · 0.2%

Your Cost: $172.05/claim|Median: $89.76
1.9× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$87K

1,509 claims · 0.2%

Your Cost: $57.48/claim|Median: $53.41
1.1× median
87420Top 1%

$84K

430 claims · 0.2%

Your Cost: $194.32/claim|Median: $9.78
19.9× median
71046Top 1%

Chest X-ray, 2 views

$74K

619 claims · 0.1%

Your Cost: $119.41/claim|Median: $8.92
13.4× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$72K

3,327 claims · 0.1%

Your Cost: $21.70/claim|Median: $5.50
3.9× median
86003Normal range

Allergen specific IgE blood test, each allergen

$71K

979 claims · 0.1%

Your Cost: $72.96/claim|Median: $40.67
1.8× median
92551Top 5%

Screening audiometry, pure tone, air only

$71K

1,648 claims · 0.1%

Your Cost: $43.15/claim|Median: $6.61
6.5× median
90723Top 5%

DTaP-HepB-IPV vaccine

$70K

2,030 claims · 0.1%

Your Cost: $34.28/claim|Median: $5.78
5.9× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$66K

755 claims · 0.1%

Your Cost: $87.47/claim|Median: $40.12
2.2× median
83655Top 5%

$65K

1,727 claims · 0.1%

Your Cost: $37.64/claim|Median: $10.49
3.6× median
82728Top 10%

Ferritin

$64K

1,638 claims · 0.1%

Your Cost: $38.99/claim|Median: $6.00
6.5× median
82306Top 25%

Vitamin D, 25 hydroxy

$59K

1,794 claims · 0.1%

Your Cost: $32.73/claim|Median: $18.18
1.8× median
85027Top 1%

Complete blood count (CBC), automated

$56K

884 claims · 0.1%

Your Cost: $63.73/claim|Median: $3.72
17.1× median
72082Top 25%

$53K

937 claims · 0.1%

Your Cost: $56.49/claim|Median: $31.02
1.8× median
90648Top 1%

$51K

1,080 claims · 0.1%

Your Cost: $47.31/claim|Median: $4.08
11.6× median
97110Top 5%

Therapeutic exercises, each 15 min

$49K

553 claims · 0.1%

Your Cost: $89.25/claim|Median: $24.49
3.6× median

Other Top Providers in Missouri

View all →

Compass Health Inc.

Community/Behavioral Health

$1.28B

Medical Transportation Management Inc.

Transportation Broker

$894.4M

Burrell Inc.

Community/Behavioral Health

$759.7M

Access2care LLC

Transportation Broker

$600.9M

State of Missouri

Psychologist, Rehabilitation

$493.6M

Similar Providers

Other top providers in General Acute Care Hospital, Children

Dayton Children's Hospital

Dayton, OH

$290.6M

Connecticut Children's Medical Center

Hartford, CT

$248.9M

← All providersAll providers in Missouri →How we detect fraud →